| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
13,549 |
6,610 |
$347K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
11,026 |
6,867 |
$251K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12,461 |
7,188 |
$222K |
| 17250 |
|
5,572 |
2,761 |
$87K |
| 97597 |
|
2,207 |
1,139 |
$56K |
| 99307 |
|
1,945 |
1,463 |
$21K |
| 97610 |
|
330 |
143 |
$18K |
| 99310 |
Prolong nursin fac eval 15m |
373 |
283 |
$12K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
200 |
161 |
$10K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
50 |
43 |
$8K |
| 99305 |
|
196 |
180 |
$7K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
425 |
310 |
$6K |
| 11045 |
|
198 |
122 |
$5K |
| 99304 |
|
106 |
97 |
$3K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
267 |
209 |
$2K |
| 97598 |
|
39 |
12 |
$1K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
273 |
204 |
$784.87 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
629 |
484 |
$630.01 |
| 11043 |
|
19 |
13 |
$364.52 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
18 |
14 |
$342.08 |